Alopecia areata DSD
Chronic autoimmune inflammatory disease affecting hair follicles. It starts at any age. It is equally common in both men and women. Alopecia areata is a consequence of a polygenic defect. Thus, the incidence rate in families of patients with AA is 1.7% compared to 10-20% in the control group.
Clinical forms of alopecia areata:
Focal (very focal) form
Ophiaz (ribbon form)
Subtotal form
General form
Universal form
Diffuse form
A less favorable prognosis for hair restoration in combination with foci of alopecia is type 1 diabetes , pernicious anemia, vitiligo, autoimmune thyroiditis, atopic diseases (bronchial asthma, atopic dermatitis, eczema, pollinosis). As the nail plates change, they develop. Ophiaz, total and universal forms.
The stage of the process is important for the choice of treatment. There are 3 stages of the disease:
Progressive stage - with easy pulling of the hair at the edge of the focus, painless hair removal occurs at a distance of 1.5-2 cm from the edge of the baldness focus, i.e. the area of "loose hair" is determined. Hair with depilation from the border region is dystrophic and splits repeatedly.
The fixed stage-area of "fluffy hair" is defined as indeterminate or not defined at all.
The stage of hair regression, which gradually thickens and becomes pigmented, begins to grow in the center of baldness. Sometimes the hair that has grown in the center of baldness is different from normal hair and has a variegated color.
34-50% of patients get rid of alopecia foci within a year.
5-10% with a thin focal form of ha develop a general form of the disease.
The universal form develops in 1-2% of patients
The principles of medical treatment of focal alopecia include such groups of drugs as:
Corticosteroids (systemic or topical)
Local immunosuppressive therapy (DCP, SADBE)
UVA therapy-photochemotherapy local and general with the use of photosensitizers
Minoxidil
Dithranol
We recommend the use of DSD drugs in addition to drug therapy prescribed by a dermatologist, or as an independent treatment in cases where drug therapy is not indicated, as well as at the stage of disease regression.
